LD 1577
pg. 16
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LR 1479
Item 1

 
health benefits coverage by the Dirigo Health Insurance
Program for their employees and dependents as set out in this
paragraph.

 
(1) Dirigo Health may establish contract and other
reporting forms and procedures necessary for the
efficient administration of contracts.

 
(2) Dirigo Health shall collect payments from
participating employers and plan enrollees to cover the
cost of:

 
(a) The Dirigo Health Insurance Program for
enrolled employees and dependents in contribution
amounts determined by the board;

 
(b) Dirigo Health's quality assurance, disease
prevention, disease management and cost-
containment programs;

 
(c) Dirigo Health's administrative services; and

 
(d) Other health promotion costs.

 
(3) Dirigo Health shall establish the minimum required
contribution levels, not to exceed 60%, to be paid by
employers toward the aggregate payment in subparagraph
(2) and establish an equivalent minimum amount to be
paid by employers or plan enrollees and their
dependents who are enrolled in MaineCare. The minimum
required contribution level to be paid by employers
must be prorated for employees that work less than the
number of hours of a full-time equivalent employee as
determined by the employer. Dirigo Health may
establish a separate minimum contribution level to be
paid by employers toward coverage for dependents of the
employers' enrolled employees.

 
(4) Dirigo Health shall require participating
employers to certify that at least 75% of their
employees that work 30 hours or more per week and who
do not have other creditable coverage are enrolled in
the Dirigo Health Insurance Program and that the
employer group otherwise meets the minimum
participation requirements specified by section 2808-B,
subsection 4, paragraph A.

 
(5) Dirigo Health shall reduce the payment amounts for plan
enrollees eligible for a subsidy under section 6912 accordingly.
Dirigo Health shall return any


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